rs1804495

Variant summary

Our verdict is Benign. The variant received -12 ACMG points: 0P and 12B. BP4_StrongBA1

The NM_000354.6(SERPINA7):​c.909G>T​(p.Leu303Phe) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.128 in 1,204,797 control chromosomes in the GnomAD database, including 7,019 homozygotes. There are 52,359 hemizygotes in GnomAD. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars).

Frequency

Genomes: 𝑓 0.12 ( 616 hom., 3967 hem., cov: 23)
Exomes 𝑓: 0.13 ( 6403 hom. 48392 hem. )

Consequence

SERPINA7
NM_000354.6 missense

Scores

1
6
9

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts P:2B:6

Conservation

PhyloP100: -1.06

Publications

38 publications found
Variant links:
Genes affected
SERPINA7 (HGNC:11583): (serpin family A member 7) There are three proteins including thyroxine-binding globulin (TBG), transthyretin and albumin responsible for carrying the thyroid hormones thyroxine (T4) and 3,5,3'-triiodothyronine (T3) in the bloodstream. This gene encodes the major thyroid hormone transport protein, TBG, in serum. It belongs to the serpin family in genomics, but the protein has no inhibitory function like many other members of the serpin family. Mutations in this gene result in TGB deficiency, which has been classified as partial deficiency, complete deficiency, and excess, based on the level of serum TBG. Alternatively spliced transcript variants encoding different isoforms have been found, but the full-length nature of these variants has not been determined.[provided by RefSeq, Jun 2012]

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -12 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.003224343).
BA1
GnomAd4 highest subpopulation (SAS) allele frequency at 95% confidence interval = 0.277 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
SERPINA7NM_000354.6 linkc.909G>T p.Leu303Phe missense_variant Exon 4 of 5 ENST00000372563.2 NP_000345.2
SERPINA7XM_006724683.3 linkc.909G>T p.Leu303Phe missense_variant Exon 4 of 5 XP_006724746.1
SERPINA7XM_005262180.5 linkc.909G>T p.Leu303Phe missense_variant Exon 4 of 5 XP_005262237.1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
SERPINA7ENST00000372563.2 linkc.909G>T p.Leu303Phe missense_variant Exon 4 of 5 5 NM_000354.6 ENSP00000361644.1
SERPINA7ENST00000327674.8 linkc.909G>T p.Leu303Phe missense_variant Exon 3 of 4 1 ENSP00000329374.4
SERPINA7ENST00000487487.1 linkn.182G>T non_coding_transcript_exon_variant Exon 2 of 3 3

Frequencies

GnomAD3 genomes
AF:
0.122
AC:
13603
AN:
111367
Hom.:
618
Cov.:
23
show subpopulations
Gnomad AFR
AF:
0.119
Gnomad AMI
AF:
0.308
Gnomad AMR
AF:
0.102
Gnomad ASJ
AF:
0.146
Gnomad EAS
AF:
0.236
Gnomad SAS
AF:
0.295
Gnomad FIN
AF:
0.0788
Gnomad MID
AF:
0.158
Gnomad NFE
AF:
0.114
Gnomad OTH
AF:
0.112
GnomAD2 exomes
AF:
0.142
AC:
25859
AN:
182266
AF XY:
0.150
show subpopulations
Gnomad AFR exome
AF:
0.119
Gnomad AMR exome
AF:
0.107
Gnomad ASJ exome
AF:
0.154
Gnomad EAS exome
AF:
0.248
Gnomad FIN exome
AF:
0.0852
Gnomad NFE exome
AF:
0.116
Gnomad OTH exome
AF:
0.122
GnomAD4 exome
AF:
0.128
AC:
140495
AN:
1093377
Hom.:
6403
Cov.:
30
AF XY:
0.135
AC XY:
48392
AN XY:
359617
show subpopulations
African (AFR)
AF:
0.115
AC:
3034
AN:
26281
American (AMR)
AF:
0.109
AC:
3825
AN:
35109
Ashkenazi Jewish (ASJ)
AF:
0.151
AC:
2920
AN:
19322
East Asian (EAS)
AF:
0.196
AC:
5898
AN:
30159
South Asian (SAS)
AF:
0.287
AC:
15514
AN:
54021
European-Finnish (FIN)
AF:
0.0907
AC:
3676
AN:
40511
Middle Eastern (MID)
AF:
0.151
AC:
623
AN:
4124
European-Non Finnish (NFE)
AF:
0.118
AC:
98593
AN:
837961
Other (OTH)
AF:
0.140
AC:
6412
AN:
45889
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.467
Heterozygous variant carriers
0
3938
7875
11813
15750
19688
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
3908
7816
11724
15632
19540
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
GnomAD4 genome
AF:
0.122
AC:
13601
AN:
111420
Hom.:
616
Cov.:
23
AF XY:
0.118
AC XY:
3967
AN XY:
33688
show subpopulations
African (AFR)
AF:
0.118
AC:
3633
AN:
30666
American (AMR)
AF:
0.103
AC:
1083
AN:
10548
Ashkenazi Jewish (ASJ)
AF:
0.146
AC:
385
AN:
2632
East Asian (EAS)
AF:
0.236
AC:
811
AN:
3443
South Asian (SAS)
AF:
0.294
AC:
772
AN:
2625
European-Finnish (FIN)
AF:
0.0788
AC:
480
AN:
6091
Middle Eastern (MID)
AF:
0.151
AC:
32
AN:
212
European-Non Finnish (NFE)
AF:
0.114
AC:
6029
AN:
53008
Other (OTH)
AF:
0.111
AC:
168
AN:
1520
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.501
Heterozygous variant carriers
0
437
874
1311
1748
2185
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
158
316
474
632
790
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
Alfa
AF:
0.120
Hom.:
12966
Bravo
AF:
0.124
TwinsUK
AF:
0.117
AC:
435
ALSPAC
AF:
0.118
AC:
341
ESP6500AA
AF:
0.123
AC:
472
ESP6500EA
AF:
0.112
AC:
751
ExAC
AF:
0.145
AC:
17641
EpiCase
AF:
0.115
EpiControl
AF:
0.121

ClinVar

Significance: Benign
Submissions summary: Pathogenic:2Benign:6
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not specified Benign:2
-
Clinical Genetics, Academic Medical Center
Significance:Benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

-
Diagnostic Laboratory, Department of Genetics, University Medical Center Groningen
Significance:Benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

SERPINA7-related disorder Benign:2
Apr 24, 2023
Department of Pathology and Laboratory Medicine, Sinai Health System
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:research

- -

Nov 20, 2019
PreventionGenetics, part of Exact Sciences
Significance:Benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

This variant is classified as benign based on ACMG/AMP sequence variant interpretation guidelines (Richards et al. 2015 PMID: 25741868, with internal and published modifications). -

not provided Benign:2
-
Breakthrough Genomics, Breakthrough Genomics
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:not provided

- -

Feb 25, 2021
GeneDx
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This variant is associated with the following publications: (PMID: 33554479, 2155256, 1515456, 25333069) -

Thyroxine-binding globulin, variant P Pathogenic:1
Mar 01, 1992
OMIM
Significance:Pathogenic
Review Status:no assertion criteria provided
Collection Method:literature only

- -

Thyroxine-binding globulin quantitative trait locus Pathogenic:1
-
Department of Endocrinology, The Fourth Affiliated Hospital of Guangzhou Medical University
Significance:Likely risk allele
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Uncertain
0.45
BayesDel_addAF
Benign
-0.49
T
BayesDel_noAF
Benign
-0.33
CADD
Benign
16
DANN
Uncertain
1.0
DEOGEN2
Benign
0.23
T;T
FATHMM_MKL
Benign
0.16
N
LIST_S2
Benign
0.71
.;T
MetaRNN
Benign
0.0032
T;T
MetaSVM
Benign
-0.53
T
MutationAssessor
Pathogenic
3.4
M;M
PhyloP100
-1.1
PrimateAI
Benign
0.33
T
PROVEAN
Uncertain
-3.3
D;D
REVEL
Uncertain
0.35
Sift
Uncertain
0.013
D;D
Sift4G
Uncertain
0.020
D;D
Polyphen
0.98
D;D
Vest4
0.17
MutPred
0.30
Gain of methylation at K298 (P = 0.093);Gain of methylation at K298 (P = 0.093);
MPC
0.15
ClinPred
0.068
T
GERP RS
2.5
Varity_R
0.82
gMVP
0.68
Mutation Taster
=70/30
disease causing (ClinVar)

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.010
Details are displayed if max score is > 0.2

Find out detailed SpliceAI scores and Pangolin per-transcript scores at spliceailookup.broadinstitute.org

Publications

Other links and lift over

dbSNP: rs1804495; hg19: chrX-105278361; COSMIC: COSV59665612; API